<html>
<head>
    <meta charset=utf-8" />
    <meta http-equiv="X-UA-Compatible" content="IE=edge" />
    <meta name="viewport" content="width=device-width, initial-scale=1" />
    <style>
        h1 { color: black; font-weight: bold; text-decoration: none; font-size: 14pt; }
        .s1 { font-style: normal; font-weight: bold; text-decoration: none; font-size: 10pt; }
        .p, p{ color: black;  font-style: normal; font-weight: normal; text-decoration: none; font-size: 13px;}
        .tb1 td{
            height: 25px;
            line-height: 25px;
            vertical-align: middle;
        }
        .tb2 td{
            height: 25px;
            line-height: 25px;
            vertical-align: middle;
        }
        .tb3 td{
        }
        .input {
        }
        .tt1 {
            margin-bottom: 5px;
        }
    </style>
</head>
<h2 style="text-align: center;">［ 収 集 運 搬 用 ］</h2>
<h1  style="text-align: center;"><span class="input">産 業 廃 棄 物 処 理 委 託 契 約 書</span></h1>
<div class="s1" style="text-align: right">&nbsp;&nbsp;&nbsp;&nbsp;
    年
    <span class="s1">&nbsp;&nbsp;&nbsp;&nbsp;月</span>
    <span class="s1">&nbsp;&nbsp;&nbsp;&nbsp;日</span>
</div>
<div>
    <table>
        <tr>
            <td colspan="24" style="text-align: left">排出事業者（甲）</td>
        </tr>
        <tr>
            <td></td>
        </tr>
        <tr style="">
            <td colspan="3" style="text-align: right">住 所:</td>
            <td colspan="21">&nbsp;&nbsp;</td>
        </tr>
        <tr>
            <td></td>
        </tr>
        <tr style="">
            <td colspan="3" style="text-align: right">氏 名:</td>
            <td colspan="21">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        </tr>
        <tr>
            <td></td>
        </tr>
        <tr>
            <td colspan="12" style="text-align: right">（法人にあっては名称及び代表者の氏名）</td>
            <td colspan="12"></td>
        </tr>
        <tr>
            <td></td>
        </tr>
        <tr>
            <td colspan="24" style="text-align: left">処分業者（乙）</td>
        </tr>
        <tr>
            <td></td>
        </tr>
        <tr style="">
            <td colspan="3" style="text-align: right">住 所:</td>
            <td colspan="21">&nbsp;&nbsp;</td>
        </tr>
        <tr>
            <td></td>
        </tr>
        <tr style="">
            <td colspan="3" style="text-align: right">氏 名:</td>
            <td colspan="21">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        </tr>
        <tr>
            <td></td>
        </tr>
        <tr>
            <td colspan="12" style="text-align: right">（法人にあっては名称及び代表者の氏名）</td>
            <td colspan="12"></td>
        </tr>
    </table>
</div>
<div>
    <?php
    if (empty($contract_text)){
        echo '<br pagebreak="true" />';
    } else {
        $a = $contract_text;
        $c = '';
        for ($m=0;$m<strlen($a);$m++){
            $b = $a[$m];
            if ($b == "\n") {
                $c = $c.'<br/>';
            } else if ($b == " "){
                $c = $c.'&nbsp;';
            }else{
                $c .= $b;
            }
        }
        echo ' <table cellspacing="0">
                        <tr>
                            <td class="input">'.$c.'</td>
                        </tr>
                    </table>
                   <br pagebreak="true" />';
    }
    ?>
</div>
<div style="color: black">追加条文、付則等</div>
<table cellspacing="0" border="1px">
    <tr>
        <td class="input">&nbsp;&nbsp;&nbsp;&nbsp;</td>
    </tr>
</table>
<br pagebreak="true" />
<div class="tt1">別表１&nbsp;&nbsp;&nbsp;&nbsp;@if(!empty($table_title1))({{$table_title1}})@endif</div>
<table cellspacing="0" border="1px" class="tb1">
    <tr style="text-align: center;background-color: #cccccc">
        <td  colspan="8" align="center"><span>積込み場所</span></td>
    </tr>
    <tr>
        <td  colspan="3" width="30%"> <span>許可番号</span> </td>
        <td  colspan="5" width="70%"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr>
        <td  colspan="3"> <span>許可都道府県・政令市</span> </td>
        <td  colspan="5"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr>
        <td  colspan="3"> 許可の有効期限 </td>
        <td  colspan="5"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr>
        <td  colspan="3"> 事業区分 </td>
        <td  colspan="5"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr>
        <td  colspan="3"> 産業廃棄物の種類 </td>
        <td  colspan="5"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr>
        <td  colspan="3"> 許可の条件 </td>
        <td  colspan="5"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
</table>
<table cellspacing="0" border="1px" class="tb1">
    <tr style="text-align: center;background-color: #cccccc">
        <td  colspan="8" align="center"><span>荷下ろし場所</span></td>
    </tr>
    <tr>
        <td  colspan="3" width="30%"> <span>許可番号</span> </td>
        <td  colspan="5" width="70%"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr>
        <td  colspan="3"> <span>許可都道府県・政令市</span> </td>
        <td  colspan="5"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr>
        <td  colspan="3"> 許可の有効期限 </td>
        <td  colspan="5"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr>
        <td  colspan="3"> 事業区分 </td>
        <td  colspan="5"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr>
        <td  colspan="3"> 産業廃棄物の種類 </td>
        <td  colspan="5"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr>
        <td  colspan="3"> 許可の条件 </td>
        <td  colspan="5"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
</table>
<br/>
<div class="tt1">別表２&nbsp;&nbsp;&nbsp;&nbsp;@if(!empty($table_title3))({{$table_title3}})@endif</div>
<table  cellspacing="0" border="1px" class="tb1">
    <tr style="text-align: center; background-color: #cccccc">
        <td  colspan="8"> 廃棄物情報に変更があった場合の情報文書〈廃棄物データシート及び分析証明書〉の伝達方法</td>
    </tr>
    <tr style="">
        <td  colspan="3"> 甲の担当者所属氏名及び連絡先 </td>
        <td  colspan="5">  <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr style="">
        <td colspan="3"> 乙の担当者所属氏名 </td>
        <td  colspan="5"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr style="">
        <td  rowspan="3" colspan="2">
            <span> 文書の伝達方法及び伝達先</span>
        </td>
        <td  colspan="1"> ＦＡＸ </td>
        <td  colspan="5"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr style="">
        <td colspan="1"> e-mail </td>
        <td colspan="5"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr style="">
        <td colspan="1"> 郵送 </td>
        <td colspan="5"><span>〒&nbsp;&nbsp;&nbsp;&nbsp;</span><br/><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr style="">
        <td colspan="3"> 緊急時の連絡先 </td>
        <td  colspan="5">&nbsp;<span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr style="">
        <td colspan="3"> 営業時間</td>
        <td  colspan="5">&nbsp;<span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr style="">
        <td colspan="3"> 休業日 </td>
        <td colspan="5">&nbsp;<span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
</table>
<br/>
<div class="tt1">別表３&nbsp;&nbsp;&nbsp;&nbsp;@if(!empty($table_title4))({{$table_title4}})@endif</div>
<table cellpadding ="6px" border="1px">
    <tr style="text-align: center; background-color: #cccccc;">
        <td  colspan="8" align="center">契約期間</td>
    </tr>
    <tr style="color: black;">
        <td  colspan="2">契約開始日</td>
        <td  colspan="6"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span>年<span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span>月<span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span>日</td>
    </tr>
    <tr style="color: black;">
        <td  colspan="2">契約終了日</td>
        <td  colspan="6"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span>年<span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span>月<span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span>日</td>
    </tr>
    <tr>
        <td colspan="2">自動更新</td>
        <td colspan="6"><span >{{$auto_update_text}}</span></td>
    </tr>
</table>
<br pagebreak="true" />
<div class="tt1">別表４&nbsp;&nbsp;&nbsp;&nbsp;@if(!empty($table_title5))({{$table_title5}})@endif</div>
<table cellspacing="0" border="1px">
    <tr style="text-align: center;background-color: #cccccc" align="center" valign="middle">
        <td  colspan="7" style="text-align: center; line-height: 25px" height="25px">排出事業場</td>
    </tr>
    <tr   style="text-align: center;color: black">
        <td colspan="1" style="text-align: center; line-height: 25px" height="25px">番号</td>
        <td colspan="3" style="text-align: center; line-height: 25px" height="25px">排出事業場名称</td>
        <td colspan="3" style="text-align: center; line-height: 25px" height="25px">排出事業場所在地及び連絡先</td>
    </tr>
    <tr   style="text-align: center;color: black">
        <td colspan="1" style="text-align: center; line-height: 25px" height="25px"><sapn class="input">&nbsp;&nbsp;&nbsp;&nbsp;</sapn></td>
        <td colspan="3" style="text-align: center; line-height: 25px" height="25px"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td colspan="3" style="text-align: center; line-height: 25px" height="25px"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr   style="text-align: center;color: black">
        <td colspan="1" style="text-align: center; line-height: 25px" height="25px"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td colspan="3" style="text-align: center; line-height: 25px" height="25px"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td colspan="3" style="text-align: center; line-height: 25px" height="25px"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr   style="text-align: center;color: black">
        <td colspan="1" style="text-align: center; line-height: 25px" height="25px"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td colspan="3" style="text-align: center; line-height: 25px" height="25px"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td colspan="3" style="text-align: center; line-height: 25px" height="25px"><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr style="text-align: center;background-color: #cccccc" align="center" valign="middle">
        <td  colspan="7" style="text-align: center; line-height: 25px" height="25px">廃棄物情報</td>
    </tr>
    <tr style="text-align: center" align="center" valign="middle">
        <td  rowspan="3" style="text-align: center; line-height: 25px" height="25px"><span class="s1">排出<br/>事業場<br/>番号</span></td>
        <td  rowspan="3" style="text-align: center"><div style="height: 5px"></div><span class="s1" style="line-height: 25px;height: 25px">廃棄物の種類<br/>（<span class="s12">WDS No.</span>）</span></td>
        <td  colspan="2" style="text-align: center; line-height: 25px" height="25px"><span class="s1">契約予定数量及び金額</span> </td>
        <td  colspan="3" style="text-align: center; line-height: 25px" height="25px"><span class="s1">運搬先の事業場</span></td>
    </tr>
    <tr style="text-align: center" align="center" valign="middle">
        <td style="text-align: center; line-height: 25px" height="25px"><span class="s1">契約単価</span></td>
        <td style="text-align: center; line-height: 25px" height="25px"><span class="s1">予定数量</span></td>
        <td rowspan="2" style="text-align: center; line-height: 25px" height="25px"><span class="s1">氏名・名称及<br/>び許可番号</span></td>
        <td rowspan="2" style="text-align: center"><div style="height: 5px"></div><span class="s1" style="line-height: 25px;height: 25px">所在地</span></td>
        <td rowspan="2" style="text-align: center"><div style="height: 5px"></div><span class="s1" style="line-height: 25px;height: 25px">処分方法</span></td>
    </tr>
    <tr style="text-align: center">
        <td><span class="s1"style="text-align: center; line-height: 25px" height="25px">円/単位 </span> </td>
        <td><span class="s1"style="text-align: center; line-height: 25px" height="25px">単位</span> </td>
    </tr>
    <tr style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr  style="text-align: center;color: black">
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td height="34px">&nbsp;&nbsp;&nbsp;&nbsp;</td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
        <td><span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
    </tr>
    <tr   style="text-align: center;color: black" >
        <td colspan="2" style="text-align: center;"><span>契約期間中の<br>合計予定金額</span></td>
        <td colspan="2" style="text-align: center; line-height: 30px" height="25px"> <span style="color: black"> <span class="input">&nbsp;&nbsp;&nbsp;&nbsp;</span> 円</span> </td>
        <td colspan="3" style="text-align: center; line-height: 30px" height="25px"> <span >契約期間は別表３記載の通り</span> </td>
    </tr>
    <tr >
        <td colspan="37">
            備考<br/>&nbsp;&nbsp;&nbsp;&nbsp;委託する廃棄物が、<span  class="s1">＊１石綿含有産業廃棄物、＊２水銀使用製品産業廃棄物又は＊３水銀含有ばいじん</span>等<br/>である場合は、その旨を該当する廃棄物の種類欄に記入する。<br/>&nbsp;&nbsp;&nbsp;&nbsp;なお、石綿含有産業廃棄物に該当するものは破砕することができない</td>
    </tr>
</table>
</html>

